Individual provider Active NPI

Jody Neeley

  • Psychiatric/Mental Health Nurse Practitioner
  • Salt Lake City, UT
National Provider Identifier
1295327054
Registry record updated Aug 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Psychiatric/Mental Health Nurse PractitionerTaxonomy code 363LP0808X
License
335648-4405 Issued in UT
Practice address
4460 S Highland Dr Ste 230
Salt Lake City, UT 84124-3550
Phone
(888) 949-4864
NPI assigned
Feb 3, 2021
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on Aug 14, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Psychiatric/Mental Health Nurse Practitioner 363LP0808X 335648-4405 UT Primary
Registered Nurse 163W00000X 335648-3102 UT
Nurse Practitioner 363L00000X 335648-4405 UT

Addresses

Primary practice location

4460 S Highland Dr Ste 230
Salt Lake City, UT 84124-3550

Mailing address

4460 S Highland Dr Ste 230
Salt Lake City, UT 84124-3550
Phone (888) 949-4864

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in UT
Eligible to order & refer
  • Part B services: Yes
  • Medical equipment: Yes
  • Home health: Yes
  • Power mobility devices: Yes
  • Hospice: No
Green means eligible to order or refer.

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
I20220113000890 UT Practitioner - Nurse Practitioner 3870985393 Reassigns benefits to 2 organizations

Care Compare profile

Medicare Care Compare
Specialty
Nurse Practitioner
Education
Other, 2021
Medicare assignment
Accepts the Medicare-approved amount as payment in full
Group practices
Partners for Mental Health LLCGroup PAC ID 2860914918, 5 clinicians

Practice addresses (Care Compare)

1020 S Main St
Salt Lake City, UT 84101-3176
Phone (801) 539-7000

1404 N 2000
Clearfield, UT 84015-8364
Phone (801) 923-2317

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Enrolled
Credentials
Nurse Practitioner

State licenses

LicenseStateTypeSpecialty
335648-3102UTMDRegistered Nurse
335648-4405UTMDNurse Practitioner

Practice roles

OrganizationSpecialtyStatusNew patients
Valley Behavioral Health Incorporated Psychiatry CurrentSince Sep 28, 2021 Accepting new patients
Valley Mental Health Incorporated Psychiatry Current Accepting new patients
Partners for Mental Health LLC Psychiatry CurrentSince Nov 1, 2025 Accepting new patients

Locations

1404 N 2000 W
Clinton, UT 84015
Phone (801) 525-9177

240 N East Promontory
Ste 233
Farmington, UT 84025
Phone (801) 897-9039

1020 S Main St
Slc, UT 84101
Phone (801) 536-6500

4460 S Highland Dr
Ste 230
Slc, UT 84124
Phone (801) 263-7227

Organizations & group practices 3

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships, National Provider Directory roles and organizations whose NPPES authorized official is this provider.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1612310400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1786665600000",
    "number": "1295327054",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4460 S HIGHLAND DR STE 230",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841243550",
            "telephone_number": "888-949-4864"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4460 S HIGHLAND DR STE 230",
            "city": "SALT LAKE CITY",
            "state": "UT",
            "postal_code": "841243550",
            "telephone_number": "888-949-4864"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "NEELEY",
        "first_name": "JODY",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2021-02-03",
        "last_updated": "2026-08-14",
        "certification_date": "2026-08-14",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "363LP0808X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Psychiatric/Mental Health",
            "state": "UT",
            "license": "335648-4405",
            "primary": true
        },
        {
            "code": "163W00000X",
            "taxonomy_group": "",
            "desc": "Registered Nurse",
            "state": "UT",
            "license": "335648-3102",
            "primary": false
        },
        {
            "code": "363L00000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner",
            "state": "UT",
            "license": "335648-4405",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Salt Lake City, UT

Sources for this page

Verify at the official NPI Registry.